A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients

In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. “Transition pricing” provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psyc...

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Detalles Bibliográficos
Autores principales: Fries, Brant E., Durance, Paul W., Nerenz, David R., Ashcraft, Marie L.F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1993
Materias:
Hospital Payment: Beyond the Prospective Payment System
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193426/
https://www.ncbi.nlm.nih.gov/pubmed/10135343
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author Fries, Brant E.
Durance, Paul W.
Nerenz, David R.
Ashcraft, Marie L.F.
author_facet Fries, Brant E.
Durance, Paul W.
Nerenz, David R.
Ashcraft, Marie L.F.
author_sort Fries, Brant E.
collection PubMed
description In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. “Transition pricing” provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psychiatric resident classification systems for short- and long-term stays. Data on per diem cost of inpatient care, by day of stay, was computed from a sample of 2,968 patients from 100 psychiatric units in 51 Department of Veterans Affairs (VA) Medical Centers. Using a 9-month cohort of all VA psychiatric discharges nationwide (79,337 with non-chronic stays), profits and losses were simulated.
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spelling pubmed-41934262014-11-04 A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients Fries, Brant E. Durance, Paul W. Nerenz, David R. Ashcraft, Marie L.F. Health Care Financ Rev Hospital Payment: Beyond the Prospective Payment System In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. “Transition pricing” provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psychiatric resident classification systems for short- and long-term stays. Data on per diem cost of inpatient care, by day of stay, was computed from a sample of 2,968 patients from 100 psychiatric units in 51 Department of Veterans Affairs (VA) Medical Centers. Using a 9-month cohort of all VA psychiatric discharges nationwide (79,337 with non-chronic stays), profits and losses were simulated. CENTERS for MEDICARE & MEDICAID SERVICES 1993 /pmc/articles/PMC4193426/ /pubmed/10135343 Text en
spellingShingle Hospital Payment: Beyond the Prospective Payment System
Fries, Brant E.
Durance, Paul W.
Nerenz, David R.
Ashcraft, Marie L.F.
A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients
title A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients
title_full A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients
title_fullStr A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients
title_full_unstemmed A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients
title_short A Comprehensive Payment Model for Short- and Long-Stay Psychiatric Patients
title_sort comprehensive payment model for short- and long-stay psychiatric patients
topic Hospital Payment: Beyond the Prospective Payment System
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193426/
https://www.ncbi.nlm.nih.gov/pubmed/10135343
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